Temporary Abdominal Closure Using an IV Bag Silo for Severe Trauma

Abstract

Patients with severe abdominal trauma injuries can have improved outcomes if a priority-oriented approach is taken to surgical intervention. This includes temporary abdominal closure and planned reoperation to complete complex, lengthy procedures when the patient is stabilized. Temporary abdominal closure can be achieved safely and cost-effectively by using a presterilized 3-liter cystoscopy fluid i.v. bag. This article discusses the rationale for temporary abdominal closure and planned reoperation, physiologic considerations in abdominal compartment syndrome (ACS), abdominal injuries or conditions leading to ACS, and manifestations of ACS. It compares and contrasts various materials used for temporary abdominal closure, illustrates bag preparation and silo application and removal, and analyzes complex intraoperative and postoperative nursing activities.

Open abdomen treatment following endovascular repair of ruptured abdominal aortic aneurysms

“…23,24,[28][29][30][31][32][33][34][35][36] Although algorithms have been proposed for the management of IAH and abdominal compartment syndrome after open RAAA repair, none have been proposed in the setting of eEVAR. In this article, we provide simple, safe clinical decision trees for OAT after successful endovascular sealing of RAAA as well as for choosing the optimal type of OAT according to the clinical presentation during the initial intervention or a secondary procedure.…”

Long-term survival after 67 hours of anhepatic state due to primary liver allograft nonfunction

“…The patient was successfully weaned off vasopressors over 3 days and was extubated within 4 days after obtaining a negative fluid balance using CVVHD. The abdominal fascia was initially left open and managed with a Bogotá bag,12 and was closed prior to extubation. He was discharged home 38 days after his initially unsuccessful liver transplant without any neurological deficits and with normal liver function tests.…”

Neue Anwendung der V.A.C.®-Therapie in der Bauchhöhle bei offenem Abdomen

“…Eine ganze Reihe von Behandlungsmodalitäten wurde während der letzten 20 Jahre publiziert [4, 10 ± 12, 15, 24, 26, 27, 29, 31, 36]. All diese Techniken haben eine Misserfolgsrate von bis zu 50 % und groûe Hernienbildungen mit schlechten funktionellen Resultaten wurden beschrieben [1,4,10,11,15,26,31,34,36]. Diese manchmal sehr groûen Bauchwandhernien benötigen oft mehrfach wiederholt korrigierende Eingriffe und sind Grund für eine beträchtliche Verschlechterung der Lebensqualität der Patienten [1,11,15,26].…”